Courtney Jordan

NPI #1831694389 in Mascoutah, Illinois

Provider Information

NPI Number: 1831694389
Entity Type: Individual
Name: Courtney Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 27, 2018
Last Updated: Mar 27, 2018

Practice Location

Address: 522 E MAIN ST
City: Mascoutah
State: Illinois
ZIP Code: 62258-2240
Phone: (618) 566-0313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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